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Josée Bouchard
Université de Montréal
Intensive care medicineDialysisAcute kidney injuryDiabetes mellitusMedicine
84Publications
22H-index
2,311Citations
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Publications 85
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#2Fanny LepeytreH-Index: 2
Last. François MadoreH-Index: 22
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#1William Beaubien-Souligny (UdeM: Université de Montréal)
#2Loay Kontar (MHI: Montreal Heart Institute)
Last. Ron Wald (U of T: University of Toronto)H-Index: 44
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Introduction Technological adjuncts have been developed to improve the accuracy of fluid removal goals in maintenance dialysis recipients. We aimed to determine whether the introduction of these tools has been shown to impact clinical outcomes. Methods We performed a systematic review and meta-analysis of randomized controlled trials that compared fluid management guided by technological adjuncts to standard care in hemodialysis and peritoneal dialysis. The primary outcome was all-cause mortalit...
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#1Josée Bouchard (UdeM: Université de Montréal)H-Index: 22
#2Ravindra L. Mehta (UCSD: University of California, San Diego)H-Index: 64
1 CitationsSource
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#1Sean M. Bagshaw (U of A: University of Alberta)H-Index: 61
#2Neill K. J. Adhikari (Sunnybrook Health Sciences Centre)H-Index: 46
Last. Ron Wald (St. Michael's Hospital)H-Index: 44
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Background and objectives Older patients in the intensive care unit are at greater risk of AKI; however, use of kidney replacement therapy in this population is poorly characterized. We describe the triggers and outcomes associated with kidney replacement therapy in older patients with AKI in the intensive care unit. Design, setting, participants, & measurements Our study was a prospective cohort study in 16 Canadian hospitals from September 2013 to November 2015. Patients were ≥65 years old, we...
1 CitationsSource
#1Tanya Mailhot (MHI: Montreal Heart Institute)H-Index: 5
#2Sylvie Cossette (MHI: Montreal Heart Institute)H-Index: 14
Last. André Y. Denault (MHI: Montreal Heart Institute)H-Index: 3
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Objective To assess a novel hypothesis to explain delirium after cardiac surgery through the relationship between cumulative fluid balance and delirium. This hypothesis involved an inflammatory process combined with a hypervolemic state, which could lead to venous congestion reaching the brain. Design Retrospective case-control (1:1) cohort study. Setting University-affiliated tertiary cardiology center. Participants Cardiac surgery intensive care unit (ICU) patients. Interventions None. Measure...
2 CitationsSource
#1Rakesh MalhotraH-Index: 26
#2Josée BouchardH-Index: 22
Last. Ravindra L. MehtaH-Index: 1
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Abstract In population studies, the incidence of hospital-acquired acute kidney injury (AKI) has risen in the last two decades. This rise appears to be multifactorial, being due to improved survival of patients with diabetes mellitus and ischemic heart disease, a growing elderly population, and better care of high-risk surgical and intensive care patients. There is still uncertainty regarding the true incidence of community-acquired AKI in the developing world. AKI in the developed world is enco...
1 CitationsSource
#1François MadoreH-Index: 22
#2Josée BouchardH-Index: 22
Abstract The chapter will: 1. Present an overview of the possible mechanisms of action of plasmapheresis in poisoning and drug overdose. 2. Review the pharmacokinetic factors that affect the elimination of poisons/drugs by plasmapheresis. 3. Highlight the limitations of published studies on the efficacy of plasmapheresis in poisoning and drug overdose. 4. Summarize published data on the efficacy of plasmapheresis for specific poisons and drugs.
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#2Josée BouchardH-Index: 22
Last. Ravindra L. MehtaH-Index: 1
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Abstract Intermittent and continuous dialysis therapies depend on adequate anticoagulation in their extracorporeal circuit (ECC) to maximize circuit and filter longevity, which will increase clearance and lessen costs and nurse time requirements. Insufficient anticoagulation results in decreased filter performance, clotting, and blood loss. Excessive anticoagulation leads to bleeding complications, which occur in 5% to 26% of treatments. Patients with acute kidney injury (AKI) are at risk for he...
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#1Josée BouchardH-Index: 22
Last. Ravindra L. MehtaH-Index: 1
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Abstract Fluid administration is frequently used in hospitalized patients. The most common reasons for fluid administration include hypotension, shock, sepsis, hypovolemia, replacement of fluid losses, and oliguria. Prompt resuscitation of patients with hypoperfusion with intravenous fluids has been shown to improve outcomes. However, approximately 50% of hemodynamically unstable patients will respond to fluid administration. For many clinicians, the current approach to fluid resuscitation focus...
1 CitationsSource
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